HomeMy WebLinkAboutBuilding Permit 07-0145
w
:E
j:
~-!
--"
\.J
Ww
~o
:5i=
o
1)0:: Z
Qz
0::0
a.-
u.....
o~
~~
-z
(J_
c
W
..I
:;)
C
W
:J:
(J
CI)
CI)
CI)
W
0::
C
C
0(
a:
....
z
o
(J
0::
W
~
o
~
C) ..I....
Z o(CI)
::i -2:1-
..I o::u.a:
iJ;~~~;C
~:s:s:s~
a: a. a.a.-
C)::&WW~
~8~~~
000000
I
f'
o
z
....
i
0::
W
a.
a.c...J
::I::Ic(
~~2:
a: 0011...1
C) OOC)c(
z_:J::J:z2:
iiia:a:o::iiiU.
::&:J:w~::&:J:
::101- ::10
..Jw~ ..JW
a.:&~CI)a.:&
OOOO~O
o
z
W
z
o
:J:
a.
z
o
z i=
0_ z (J
o W
~~~i= ~
i=~i:S..J2:
85~~~~
u.u.u._u.CI)
000000
C)
z
~
W
>
o
o
W
a:
o
u.
W
CD
Z
o
i=
o
W
c.
o 0 ~
W W W
~ ~ a:
o 0 a:
a: a: 0
a. a. II.
~ ~ ::l
o c( 0(
I- Z 0
o 0 ~
(E i=
CI) 0
i= c(
0( l3 (J
CI) W W
~ a: a:
a: a: a:
~ 0 0
~ ~ 0
o ~o
en
i-
Z
W
~
~
o
o
L.:
1:
o
()
1::
Q)
c:
~
L.:
~
8-
III
..=
w
(J
z
~
0(
~
CI)
0::
::I
o
:J:
....
N
Z
o
i=
(J
W
a.
CI)
~
....
><
W
Z
W
:J:
....
0::
o
u.
o
II)
ClO
CI,l
....
~
E
~
~
ol$
i5
~
~
c
~
~
~
~
~
~
~
~
~
~
~
!;;j
~
~
~
~
u
i
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I, .3 0, i
~i~~e ~:~y I PERMIT NO. 07, 014-51
Yellow Applicant
at bottom)
ZONING (office use)
Ke~V'L-t+"
eu('v~
(' ';- or- L:..k-
LEGAL DESCRIPTION (office use only)
LOT II BLOCK {
ADDITION
/{-I c..k.o r--'-/ s~
PID
OWNER
(N ame)
Bv~lcN...rs ~ Q.i~'- t. .
I 0 D N ,~ CO IIe.;t-' ;/:F-
(Phone)
qs-a-. - y. 4.0 - 'tL<..C; a-
(Address)
BUILDER
(Company Name) Ie "-'I _~""" ~~, ;r 04, I elf
(Contact Name) .CrJ' j / l'
(Address) '-i -, ( a.~L N "C-O I F=
(Phone) ~ - 4.( '-<6
(Phone)
q \..{ 0 d-..
r--
.--:::>
New Construction ODeck
o Alteration n
nDM.
Ig
ORe-Siding OLower Level Finish 0 Fireplace
CODE: OLR.C. OLB.C.
Type of Construction: I II III
Occupancy Group: A B E
Division: ~ 3
o Misc.
T~lJfFG/L tJp P6~nIT
\
R
it 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
al [ have furnished mformation on this application which is to the best of my knowledge true and correct. [also certify that [ am the owner or authOrIzed agent for the
tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. [am aware that the building
Ulthermore, l.hereby agree that the Ctty official or a designee may enter upon the property to perform needed inspectIOns.
x /- 1J..-01
Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace ermit Fee $ TOTAL DUE $
Paid Receipt No.
Date By
ThiS IS to certify that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner conSl1tutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3ee IViain }~ile
at bottom)
NNerr-
<.JR..;J~
LEGAL DESCRIPTION (office use only)
LOT
He
ADDITION
Date Rec' d
2_1,01
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 07 0 /4-51
d~7
ZONING (office use)
PJ5D
PID z.~ d .-
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
!Le.
'}; 2 -43J-fJro
(Phone)
(Phone)
/J11'\J
w.
If.
~J7c
Gr.
TYPE OF WORK ~New ConstructIOn ~eck ~Porch \\,OOfi
bAdd1l1on OAlteratlOn OUl1hty Con ct
CODE: ~LR.C. OLB.C. ~ 0 MISC
Type of Construction: I
Occupancy Group: A B E U
Division: 4 5
PROJECT COST IV ALUE $
(excluding land)
Fireplace (2 )
/4q{P:)
.
x
1 hereby certify that I have fl1rnished mformation on this applical10n which IS to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above.mentlOned property and that all construction will conform to all existrng state and local laws and will proceed in accordance with submllled plans I am aware that the buildmg
oflicial can revo S ust cause Furthermore, I hereby agree that the City official or a designee may enter upon the propel1y to perform needed mspecl1 ns
LJ:.i<Jz.. ~
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
OD.Oo
00.00
3S".-:;>()
d.OO
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
~~
8uildll1~ Oflicial
~I~ {Ot
Dale
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ 8 0 e3. 3~
-...,~
This IS to certify that the request in the above applical10n and accompanyrng documents is in accordance with the City Zoning Ordinance and may proceed as requested This document
when signed by the City Planner consl1lutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Water Meter Size 5/8" 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
.?-/'.:?- t?7
',,>
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
....
.\ ,Ol'...h
~".
~-B~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
q!1 Hot1ES
2,9.07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'700; LJcB(\JrJ~l '\ ~
/
Accepted
Accepted With Corrections
Denied
~
~/J
Date: d-// ~ ~ 7
. I
Reviewed By:
Comments:
.. .. t:l. e ; 'I / i; '.. .':Y~j
"'" ., , ~" .', " " ... .. f
.;...-:/ \~ ," lJi..., .:."'..'it-'-\..... _...:~..di.
if1~" ",
' ll~.
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
\.. ,..
//
See Main. File
J; - Bf,IUdlng
ccrv--:Jfgln;.errn~
p . - ann g
BUILDING P~8141T APP~IC~llQ"eMR1'.NTC"l!Cg"IST
NAME OF APPLICANT
APPLICATION RECEIVED
q 11 Jr/Q/HES
2~C);. 0 7
The Building, Engineering, and PI.artning Departments have reviewed the building permit
application for construction activity Which is. proposed at:
17()(P '_1(5(\.),\.)(;1 \ ~
Accepted ~ Accepted With Corrections
Denied
Reviewed.By:
Comments:
~
St'~' A,;, F,y~
Date: 3 "2,"'01
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid. II
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~.1. 01
I. Blue File
2 ,.old City
J Yellow Applicant
I PERMIT NO'1. I tf 51
ZONING (office use)
t:e
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANT /)/
(Name) Vt2I/--e.5 rl/A.-t-lb,~~ ~c.
(Address) 5J Co () ~ '-tcd~;~ ~
(Address)
(Phone) q~ /;)-'-I? ~-C)) 1;;1/
~o,d~ ~.tly1 SS3'S~
(City) (Zip Code)
(Contact Person)
(Phone)
.- ~.
DATE
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
CANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & TW(l-Family $99.50
Residenlial. Additions & Alterations $39.50
Estimated Cost $
Building Permit #
r tr1 ?J ;JU
r> <<t./II/(){;/
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Building Official
Dale
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
MAR-03-2009 11:53 From:D&D MECHANICAL
9528904650
To: 9524474245
P.2/3
,'r J( J'O'" J>~I I l. l{t~(,' d
~o~......,_.."", ~ \~
~~jly CITY Of PIUOR LAKE I'LUMUlNG J>KRMIT, .
.,..~ I h~.. Id, ~'-'-f:.jU\1fj"N()'1-." ,41"
] th.l~ I,IIV .
l \'.1I1,1A' II n",,,,.. .. ~.._.._.._... .~_. .
'1:I\'~:il. 1'/111' tJl 'IIIIH !trill ~II'" ..I I ",Ull!!') ... . . .' -.--- --.- ... . . .... '---'"
^\ll?~~~l -':n~~/;"'~~v,-~~'::~-~ j;-' ... . J \ ZO=~",:J
.._._-_._-~ - ~--_... - ~._------,----
_.......~....... .....' ""_.." ......._.._____...._ ___"" '"~ ..-..r..-.-....-.'.. -.. .--..-....-..
LllGAL UnSeR lPT'fON (oUke use clIlly)
- . -- --.--. .'--J :
..~ 1,
...--..,..
PlIJ
1.01' BI.DCK
ADDITION
_. (Phon~) 9.s 1 .4LJ D _. 9~i;'~g_ . ' .
P, ,'vr L ,. kt? M N ~.:f:':' 3 72 ',.,
.... ...... ,,--
OWNER \ J I ".. -
(Nl\mc.) ~L.29f")C~
(AddJ~l>li) J--j 7 j~L:flrJ~:-~~'-'2.IJ('.} Pt III ."::JoJ' .J-~;
2'20
APPUCAN"r'- '.~ ......-,-..,. -- "-- --, .
(Nam~)--=~~ 1) .rJ cc j, n N J (POl CJa t.
(Ac.ldress) 9025' lJ N kirJ 1/1) :51.1111' D
(Addrtss)
(Contact Penion) [t)Aj.JJ~..:ilLf::JL
) -11_JI;. .:JCJL;
APPLICANT SIGNATURE. _
(Phone) Q(;78'"1f)-g258
("'. .c., r 3 "}.o_
c..Jllo/A(..e :-' ~ ,.:)
(City) (Zip Code)
(phone) '1 1)2 - g'lt;.=p 2 ~-Y
o
DATE ..2.::..12...-0 J
. .-
. Type of Fixture -
Quantity QuantitY Type of Fixture
7 Bath Tub with or without shower l,f Roup,h.ins
I D ,SiiW'aSi)er 7 Water Hea.ter
Floor Drain vv- W 8ter Softocr
-..... Lavatory (Bathroo'"iTi'STfikT-- Stand Pipe (Washing Mnchmc)
I Laundry Tray (l or 2 compartment smk. - Sewap,e Ejector
f Shower Stllll Bocktlow Assembly
r.I Sinks Backflow Asscmbly Test
--~ Bar Sink Lnwn Sprinkler ..
Waler Closct (Toilet) 7 Other ~ ti JJf;? ;/rA /1U
--.-.--. v' ./
APPLICANT PLEASE COMPLETE BELOW I
\ FEE SCHEDULE ~
Indu$lrIIll. Commercia.l &. Mullj-famliy 1% of Job '051 with II $39.50 minimum Resldcnlllll. N.:w Onc & Two-Family ~
Resldcnlilll. Addlllons &. AllerDllon, S /'
)-
Estimated Cost S BUilding Permit # ))
$~ ). d!'Y,~f
$ PAID W~ JIU~O
13UILDING PERMit
PLUMBING PERMIT FEE
ST A TE SURCHARGE
TOTAL PERMiT FEE
(ornce U~C Only)
UuilcJlnu Offitia'
Dale
,
This Application Becomes Your Bulldln(: Permit When Approved
14 hour notice for Illllnspecllons (951) 447. 850, fDl (951) 447-4245
By
FEB. 19.2009 9:29AM METRO AIR 952-447-8126 NO. 120
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
P. 2
Date Rcc'd
~: ~~II ~~y I PERMIT NO. 01... 0""'. ~j~..~~
s. Y.11I>w "llpliclJU . ~ ,..'
ZONING (omet we)
\
'" \I\. ~ -t. "- ~... \)(~..
...
LOT BLOCK
ADDmON
PlD
I
. .. ",t'.
:'.t; .
LEGAL DESCRIPTION (office Ule only)
(phone) ~ \ ~.. \.1 '" \)..,~ y ~~
'V,.)t ~~,~ l') \. ni\)SJ"'31~
APPLICAN~.L '" -
(Name) \'"\\."",\.,...~ ",~r ~~
(Address) \\r. C\ ~~ \-l \. \ L()~ '(\~ ~
(Addl'CJ.I)
(Contact Person) N '" "'I L: ~ ~ Q ~ ~
APPLICANT SIGNATURE
(l'hone)
<' (~O.... ~'u.
Cj (d-\.\~l-~\~~'
t\f\) '5-~ 3,:)
(City) (Zip Code)
(Phone) ~ S d - ~ \.\ ,...)? \ ~ ~
DATB::l ~ \ '" -, q
., ,
t ,~
DNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
PURNACE MAKE AND MODEL. FUEL
FLUE SIZE RETURN OPENlNGS INPUT OUTPUT
TYPE Ol~ SYSTEM HEATING OR POWER PLANT
OWarm Air Plau18 o Steam PLEASE NOTE: Air CouditioJlCl'
o Gl'lvily o Hot Willer UUHl :md l~ll'cplJ\cCS Cnullot EACl'Ollro
o Mechanical o Radiation into Required Side Y:ll"d SetbncltB.
DAir Conditioning D Special Devices li'ireph\ces Witll Box Adtlitiolls 01'
DVenL System f&t Other DcviCllB t:" '" 1"1.. \ C) t.~ C.IIntilevel's to UII! OutJide oCBulldlngs
~ ~ tn~~,... Require" B\lllding Permit.
PIR.B1)LACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
..i..' .
, I;" .
FEE SCHEDULE
JlldUlLl'~ Commercial & Multi-Family 1 % of job COSl Residential. Gas l1il'Gl'lace
$49,SO minimu1Jl
llesidclltinl., Heating & AlC (N DW ConstrucIlon) $149, SO Residentinl, AdditiOllS ell: A.1terntiolls
Residentilu, Healing Only (Ncw CoUI1.L'Uction) $64.50 Resitle~tiaJ.. AC Ol1ly
$49.50
$49.50
$49.50
&timalcd Cost $
Build iug Permit #
",
BEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
s
PAlO WfTl-l
.50 BUiLDiNG PER^41l
(Office Use Ouly)
This AppllcRtloll Betolne. YOUI' nuUdhlg l)ernllt When Appl'oved
. ~ '.
Dille
ccclpl No.
Dulldioll ocntial
y
1.4 hour Ilottce fur 1I1lIn!pe,Uol1~ (951.) 44 850, rllx (952.) 447.4145
4646 Dakutn Stl'eet S.E" l'l'lor Ln
PRIOR LAKE
INSPECTION RECORD
o /JeT It
Ie.
M ~-PI4P
DEPARTMENT OF i.~~~(~ . .' ~-~jn _ l.,..l__
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. 07.ol-fS
CONTRACTOR -. /d\(tAtfJJ) - - -=" PHONl~O ._~~__,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)./ t/lrD)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST t. ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
(DI,A'6 c: If~lts-e-~ I
,
FINALS
GqADING (Prior to Sodding)
BUiLDING
ELE'"CTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior t()"'rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850